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r� <br />DE?ARTMENT OF COMMUNI7Y DEVELOPMEN7 SERYtCES <br />BUILDING PERMfT I�1FC�R11�iATiON <br />ADDRESS '''�'� <br />(1) BUILDING PERMIT FEE $ <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMiIr IS�UANCE <br />(A) TD BE DETErMINED BY BLDC INSPECTOR INCH <br />(B) EJKIST. WATER SERVICE, APPLICATION NO. <br />(C) ,+.PPROX. LOCATION <br />CHART - <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PER�41- �fS- <br />Sl"ANCE FEET DRIVEWl' ` (T� �PF) � - _ <br />$ - <br />;7J ST;� ;,5 OF SEWER CHARGE� <br />BOND DISTRICZ iUOTAL! -_- <br />N, 5, F, W <br />NOTf S <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER I'ERMIT FEE <br />CA7CH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />Ei <br />3 <br />Ei <br />S <br />TRUCK $ <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />9-1•79 <br />R <br />CHART <br />DATE <br />DATE <br />